Term
| Presumptive signs of pregnancy: |
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Definition
Amenorrhea
N/V (2-12 weeks)
Breast changes
Quickening (16-20 weeks)
Urinary tract
Basal body temperature
Skin changes |
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Term
| Probable Manifestations of Pregnancy: |
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Definition
Pelvic organs
Chadwick’s sign (pelvic congestion)
Leukorrhea
Hegar’s sign (isthmus
Pelvic bones and ligaments
Abdominal enlargement
Contractions
Braxton Hicks (28 weeks and on) |
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Term
| Positive Manifestations of Pregnancy: |
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Definition
Fetal Heart Tones
Palpation (22 weeks)
Ultrasound (5-6 weeks)
Pregnancy tests
Urine
Serum
Qualitative
Quantitative |
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Term
| What levels of hcg would you expect to see with a molar pregnancy? |
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Definition
very high, greater than 100,000
with a normal pregnancy they dont go above 40,000 |
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Term
Beta-hCG
Thought to be produced by placenta as well as all types of trophoblastic tissue
Doubles every 1-2 days
Half life of 1.5 days
Is produced days after fertilization
Is detected in maternal serum 8-11 days after conception
Peak at 10-12 weeks
Decrease in 2nd and 3rd trimesters
Low in missed or threatened abortion
High in twins and trophoblastic disease |
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Definition
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Term
| At 10-12 weeks, there should be a __ __ and beta hCG should __. |
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Definition
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Term
hCG:
Abnormally low in
ectopic pregnancy
threatened or missed abortion
embryo resorption
Unexpectedly high
Twins and multifetal pregnancy
Gestational trophoblastic neoplasia
(molar pregnancy,invasive mole,choriocarcinoma) |
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Definition
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Term
| If someone has had 2 ectopic pregnancies> be thinking PID. b/c PID increases risk of ectopic pregnancies. |
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Definition
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Term
A 29-year-old presents for a New OB visit. She and her husband have been trying to get pregnant for three months. She had a UPT+ three weeks ago. Her LMP is 11/14/2007.
She was pregnant in 2004, but miscarried. In 2003, she delivered twins via cesarean section. And she has a two-year-old at home as well.
What is her EDC using Naegele's Rule? |
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Definition
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Term
. The only blood type that actually matters though is moms. Give Rogan at 28 weeks and at delivery.
What if Rh- negative mom comes in with threatened abortion and she is 12 weeks and bleeding, this is her first pregnancy, what do you do? Rogan shot. Rh- mom has to Rogan shot every times shes pregnant. A rogan shot is good for 12 weeks. So would have to give this again at 28 weeks and then delivery. And then every time shes pregnant after that.
Give the rogan shot with first pregnancy even though wouldn’t be an issue until second pregnancy b/c want to prevent antibodies from forming in the first place. |
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Definition
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Term
. The only blood type that actually matters though is moms. Give Rogan at 28 weeks and at delivery.
What if Rh- negative mom comes in with threatened abortion and she is 12 weeks and bleeding, this is her first pregnancy, what do you do? Rogan shot. Rh- mom has to Rogan shot every times shes pregnant. A rogan shot is good for 12 weeks. So would have to give this again at 28 weeks and then delivery. And then every time shes pregnant after that.
Give the rogan shot with first pregnancy even though wouldn’t be an issue until second pregnancy b/c want to prevent antibodies from forming in the first place. |
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Definition
| Mom that is Rh- and baby that is Rh+ |
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Term
. The only blood type that actually matters though is moms. Give Rogan at 28 weeks and at delivery.
What if Rh- negative mom comes in with threatened abortion and she is 12 weeks and bleeding, this is her first pregnancy, what do you do? Rogan shot. Rh- mom has to Rogan shot every times shes pregnant. A rogan shot is good for 12 weeks. So would have to give this again at 28 weeks and then delivery. And then every time shes pregnant after that.
Give the rogan shot with first pregnancy even though wouldn’t be an issue until second pregnancy b/c want to prevent antibodies from forming in the first place. |
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Definition
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Term
| On exam if you feel the uterus about 4 cm below the umbilicus, the mother is __ weeks. |
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Definition
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Term
| On exam if you feel the uterus at the umbilicus, the mother is __ weeks. |
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Definition
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Term
| Initial pregnancy visit labs: |
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Definition
Blood
H&H, WBC/diff
Blood group & Rh
VDRL or RPR, rubella titer, hep B, HIV
Glucose initially if hx of prior diabetes or Hx of prior stillbirth
Genetic testing
>35 y/o, hx of prior or current fetal abnormalities
Pap Smear, STIs
Urine c&s
Urine dipstick at each visit
proteinurea,glucosuria, ketones,nitrites, blood
Group B Streptococcus culture
35 weeks
10 - 30% +
+/- Tuberculin skin test if hx of exposure |
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Term
| The same patient’s quad screen reveals low estradiol levels. What might this indicate? |
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Definition
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